Individual
DANIEL A JODEXNIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC, LAC
Contact information
Practice address
112 EAST AVE STE 9, HACKETTSTOWN, NJ 07840
(908) 441-1554
Mailing address
112 EAST AVE STE 9, HACKETTSTOWN, NJ 07840-2662
(908) 441-1554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00268600
NJ
Other
Enumeration date
05/10/2018
Last updated
06/21/2018
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